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Johor Weekly Epidemiological Bulletin 2017 Page 1 Johore Weekly EPIDEMIOLOGICAL BULLETIN EPID WEEK 14 DATE : 02.04.2017 08.04.2017 Influenza A(H7N9) China Monitoring human cases In March 2013, a novel avian influenza A(H7N9) virus was detected in patients in China. Since then, and up to 6 April 2017, 1364 cases have been reported to WHO, including at least 497 deaths. The A(H7N9) outbreak shows a seasonal pattern. The first wave in spring 2013 (weeks 7/201340/2013) included 135 cases; 320 cases were reported during the second wave (weeks 41/201340/2014), 224 cases were reported during the third wave (weeks 41/201440/2015), and 119 were reported in wave four (weeks 41/201540/2016). A fifth wave started in October 2016 (week 41/2016), with 566 cases as of 30 March 2017. The 1 364 cases were reported from Zhejiang (302), Guangdong (256), Jiangsu (241), Fujian (104), Anhui (93), Hunan (81), Shanghai (56), Jiangxi (49), Guangxi (28), Hubei (28), Hong Kong (21), Henan (18), Guizhou (16), Shandong (14), Beijing (11), Sichuan (11), Xinjiang (10), Taiwan (5), Hebei (4), Liaoning (3), Chongqing (2), Jilin (2), Macau (2), Tianjin (2), Yunnan (2). Three imported cases were reported: one in Malaysia and two in Canada. OUTBREAKS / CLUSTERS / UNUSUAL EVENTS EW 14 No District Locality Disease /Event Number Of Cases 1 Tangkak PLKN Sri Ledang ILI 18 2 Kota Tinggi Smk Sains Kota Tinggi Bandar Penawar URTI 63 3 Johor Bahru No 19 Jalan Tembusu 1 Taman Rinting 81750 Masai Johor HFMD 3 4 Kluang Maahad Tahfiz Al Quran Darul Ta’lim, No 211, Kg.Tengah, 86000 Kluang, Johor Scabies 101 5 Kluang Penjara Kluang, Kluang Johor AGE 33 Advisor Dr Hajah Fatimah bt. Othman Editorial Board Editorial Staff Dr Abu Hassan Sha’ari Abdul Kadir Pn.Noor Elliza binti Othman En. Zainalabidin bin Mokhtar Dr Linayanti Rosli Dr.Jeyanthini a/p Sathasivam Communicable Diseases Control & Surveillance Unit Johor Health Department (Public Health Section) Jalan Persiaran Permai, 81200 Johor Bahru Tel: 07-2356136 Fax: 07-2356221 [email protected] [email protected] Sumber : enotifikasi/edengue/ewabak/emeasles/buletinMKA

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J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 1

CURRENT

Johore Weekly

EPIDEMIOLOGICAL BULLETIN EPID WEEK 14 DATE : 02.04.2017 – 08.04.2017

Influenza A(H7N9) – China

– Monitoring human cases

In March 2013, a novel avian influenza A(H7N9) virus was detected in patients in China. Since then, and up to 6 April 2017, 1364 cases have been reported to WHO, including at least 497 deaths. The A(H7N9) outbreak shows a seasonal pattern. The first wave in spring 2013 (weeks 7/2013–40/2013) included 135 cases; 320 cases were reported during the second wave (weeks 41/2013–40/2014), 224 cases were reported during the third wave (weeks 41/2014–40/2015), and 119 were reported in wave four (weeks 41/2015–40/2016). A fifth wave started in October 2016 (week 41/2016), with 566 cases as of 30 March 2017. The 1 364 cases were reported from Zhejiang (302), Guangdong (256), Jiangsu (241), Fujian (104), Anhui (93), Hunan (81), Shanghai (56), Jiangxi (49), Guangxi (28), Hubei (28), Hong Kong (21), Henan (18), Guizhou (16), Shandong (14), Beijing (11), Sichuan (11), Xinjiang (10), Taiwan (5), Hebei (4), Liaoning (3), Chongqing (2), Jilin (2), Macau (2), Tianjin (2), Yunnan (2). Three imported cases were reported: one in Malaysia and two in Canada.

OUTBREAKS / CLUSTERS / UNUSUAL EVENTS EW 14

No District Locality Disease /Event

Number Of Cases

1 Tangkak PLKN Sri Ledang ILI 18

2 Kota Tinggi Smk Sains Kota Tinggi Bandar Penawar

URTI 63

3 Johor Bahru

No 19 Jalan Tembusu 1 Taman Rinting 81750 Masai Johor

HFMD 3

4

Kluang

Maahad Tahfiz Al Quran Darul Ta’lim, No 211, Kg.Tengah, 86000 Kluang, Johor Scabies 101

5 Kluang

Penjara Kluang, Kluang Johor AGE 33

Advisor Dr Hajah Fatimah bt. Othman

Editorial Board Editorial Staff

Dr Abu Hassan Sha’ari Abdul Kadir Pn.Noor Elliza binti Othman En. Zainalabidin bin Mokhtar

Dr Linayanti Rosli Dr.Jeyanthini a/p Sathasivam

Communicable Diseases Control & Surveillance Unit

Johor Health Department (Public Health Section) Jalan Persiaran Permai, 81200 Johor Bahru

Tel: 07-2356136 Fax: 07-2356221 [email protected] [email protected]

Sumber : enotifikasi/edengue/ewabak/emeasles/buletinMKA

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 2

0

1. COMMUNICABLE DISEASES FOR CURRENT WEEK, 2016 AND 2017, JOHORE STATE

DISEASE

EW 14/2017

EW 14/2016

MEDIAN

CUMULATIVE 2016

CUMULATIVE 2017

NOTIFIABLE DISEASES

1. AVIAN INFLUENZA 0 0 NA 0 0

2. CHANCROID 0 0 0 0 0

3. CHOLERA 0 0 0 0 0

4. DENGUE FEVER 131 280 67 5618 1805(4)

DENGUE HAEMORRHAGIC FEVER 0 0 0 4 2

5. DIPHTHERIA 0 0 0 0 0

6. DYSENTERY (all type) 0 0 0 2 4

7. EBOLA 0 0 0 0 0

8. FOOD POISONING (episode) 1 4 1 23 16

FOOD POISONING (case) 16 12 14 1037 382

9. GONOCOCCAL INFECTION (all forms) 11 6 2 68 100

10. HAND,FOOT&MOUTH DISEASE (HFMD) 58 37 58 529 1029

11. HIV INFECTION (all forms) 0 22 14 190 175

HIV DEATH 0 0 0 12 11

12. LEPROSY 0 0 0 3 3

13. LEPTOSPIROSIS 6 2 1 68 47

14. MALARIA 5 1 0 4 16

15. MEASLES 4 5 0 125 33

16. MERSCoV 0 NA NA NA 0

17. PLAGUE 0 0 0 0 0

18. ACUTE POLIOMYELITIS 0 0 0 0 0

19. RABIES 0 0 0 0 0

20. RELAPSING FEVER 0 0 0 0 0

21. SYPHILIS (all forms) 3 1 1 37 81

22. TETANUS (Neonatorum / Adult) 0 0 0 1 0

23. TUBERCULOSIS (all forms) 37 30 41 560 518

TUBERCULOSIS DEATH 1 3 0 13 6

24. TYPHOID & PARATYPHOID FEVER 0 0 0 4 2

25. TYPHUS & OTHER RECKETTSIOSES 0 0 0 0 0

26. VIRAL ENCEPHALITIS 0 0 0 1 1

27. VIRAL HEPATITIS

a) Hepatitis A 0 0 0 2 1

b) Hepatitis B 8 2 4 75 91(1

c) Hepatitis C 4 3 2 49 46(1)

d) Other Hepatitis 0 0 0 2 0

28. PERTUSSIS 0 0 0 6 2

29. YELLOW FEVER 0 0 0 0 0

30. ZIKA 0 0 NA 0 0

OTHER DISEASES UNDER SURVEILLANCE

1 ACUTE FLACCID PARALYSIS (AFP) 0 0 0 2 0

2 ACUTE GASTROENTERITIS (AGE) 186 461 625 4679 2065

3 FILARIASIS 0 1 0 1 0

4 INFLUENZA-LIKE ILLNESS (ILI) 730 911 152 12332 10283

5 SEVERE ACUTE RESPIRATORY INFECTION (sARI) 41 15 0 128 246

6 MELIOIDOSIS 0 0 0 5 4(2)

7 BRUCELLOSIS

0 0 0 1 2

CUMULATIVE

EW1

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 3

2. COMMUNICABLE DISEASES 2013 – 2017, JOHORE STATE

DISEASE

2013

2014

2015

2016

2017

NOTIFIABLE DISEASES

1. AVIAN INFLUENZA NA NA NA 0 0

2. CHANCROID 0 0 0 0 0

3. CHOLERA 0 0 0 0 0

4. DENGUE FEVER 599 1584 1997 5618 1805(4)

DENGUE HAEMORRHAGIC FEVER 24 11 3 4 2

5. DIPHTHERIA 0 0 0 0 0

6. DYSENTERY (all types) 0 1 1 2 4

7. EBOLA 0 0 0 0 0

8. FOOD POISONING (episode) 12 18 17 23 16

FOOD POISONING (case) 403 657 486 1037 382

9. GONOCOCCAL INFECTION (all forms) 24 21 84 68 100

10. HAND, FOOT & MOUTH DISEASE (HFMD) 391 509 917 529 1029

11. HIV INFECTION (all forms) 181 146 174 190 175

HIV DEATH 0 0 0 12 11

12. LEPROSY 3 4 5 3 3

13. LEPTOSPIROSIS 19 55 111 68 47

14. MALARIA 16 4 8 4 16

15. MEASLES 5 4 4 125 33

16. MERSCoV NA NA NA NA 0

17. PLAGUE 0 0 0 0 0

18. ACUTE POLIOMYELITIS 0 0 0 0 0

19. RABIES 0 0 0 0 0

20. RELAPSING FEVER 0 0 0 0 0

21. SYPHILIS (all forms) 14 30 30 37 81

22. TETANUS (Neonatorum / Adult) 0 1 0 1 0

23. TUBERCULOSIS (all forms) 495 586 622 560 518

TUBERCULOSIS DEATH 0 0 0 13 6

24. TYPHOID & PARATYPHOID FEVER 5 6 4 4 2

25. TYPHUS & OTHER RECKETTSIOSES 0 0 0 0 0

26. VIRAL ENCEPHALITIS 0 0 0 1 1

27. VIRAL HEPATITIS

a) Hepatitis A 2 2 3 2 1

b) Hepatitis B 48 41 71 75 91(1

c) Hepatitis C 72 31 36 49 46(1)

d) Other Hepatitis 0 0 1 2 0

28. PERTUSSIS 0 1 4 6 2

29. YELLOW FEVER 0 0 0 0 0

30. ZIKA NA NA NA 0 0

OTHER DISEASES UNDER SURVEILLANCE

1 ACUTE FLACCID PARALYSIS (AFP) 0 3 1 2 0

2 ACUTE GASTROENTERITIS (AGE) 9819 7770 923 4679 2065

3 FILARIASIS 0 2 6 1 0

4 INFLUENZA-LIKE ILLNESS (ILI) 2213 1954 1965 12332 10283

5 SEVERE ACUTE RESPIRATORY INFECTION (sARI) 0 154 3 128 246

6 MELIOIDOSIS 0 0 0 5 4(2)

7 BRUCELLOSIS 0 0 0 1 2

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 4

3. COMMUNICABLE DISEASES FOR CURRENT WEEK BY DISTRICT, 2017, JOHORE STATE

DISEASE

JB

KJ

MR

LG

BP

KG

ST

PN

KT

MG

JOHORE

NOTIFIABLE DISEASES

1. AVIAN INFLUENZA 0 0 0 0 0 0 0 0 0 0 0

2. CHANCROID 0 0 0 0 0 0 0 0 0 0 0

3. CHOLERA 0 0 0 0 0 0 0 0 0 0 0

4. DENGUE FEVER 98 5 3 0 8 2 7 1 4 3 131

DENGUE HAEMORRHAGIC FEVER 0 0 0 0 0 0 0 0 0 0 0

5. DIPHTHERIA 0 0 0 0 0 0 0 0 0 0 0

6. DYSENTERY (all types) 0 0 0 0 0 0 0 0 0 0 0

7. EBOLA 0 0 0 0 0 0 0 0 0 0 0

8. FOOD POISONING (episode) 0 0 0 1 0 0 0 0 0 0 1

FOOD POISONING (case) 0 0 0 16 0 0 0 0 0 0 16

9. GONOCOCCAL INFECTION (all forms) 7 2 0 0 1 0 0 0 1 0 11

10. HAND, FOOT & MOUTH DISEASE (HFMD) 28 3 4 5 3 8 2 1 4 0 58

11. HIV INFECTION (all forms) 0 0 0 0 0 0 0 0 0 0 0

HIV DEATH 0 0 0 0 0 0 0 0 0 0 0

12. LEPROSY 0 0 0 0 0 0 0 0 0 0 0

13. LEPTOSPIROSIS 2 0 0 0 0 2 0 1 1 0 6

14. MALARIA 0 0 0 0 0 0 0 0 5 0 5

15. MEASLES 4 0 0 0 0 0 0 0 0 0 4

16. MERSCoV 0 0 0 0 0 0 0 0 0 0 0

17. PLAGUE 0 0 0 0 0 0 0 0 0 0 0

18. ACUTE POLIOMYELITIS 0 0 0 0 0 0 0 0 0 0 0

19. RABIES 0 0 0 0 0 0 0 0 0 0 0

20. RELAPSING FEVER 0 0 0 0 0 0 0 0 0 0 0

21. SYPHILIS (all forms) 1 1 0 0 0 0 0 1 0 0 3

22. TETANUS (Neonatorum / Adult) 0 0 0 0 0 0 0 0 0 0 0

23. TUBERCULOSIS (all forms) 22 0 0 1 0 5 0 5 2 2 37

TUBERCULOSIS DEATH 1 0 0 0 0 0 0 0 0 0 1

24. TYPHOID & PARATYPHOID FEVER 0 0 0 0 0 0 0 0 0 0 0

25. TYPHUS & OTHER RECKETTSIOSES 0 0 0 0 0 0 0 0 0 0 0

26. VIRAL ENCEPHALITIS 0 0 0 0 0 0 0 0 0 0 0

27. VIRAL HEPATITIS

a) Hepatitis A 0 0 0 0 0 0 0 0 0 0 0

b) Hepatitis B 7 0 0 0 0 0 0 0 1 0 8

c) Hepatitis C 0 0 1 0 2 0 0 1 0 0 4

d) Other Hepatitis 0 0 0 0 0 0 0 0 0 0 0

28. WHOOPING COUGH 0 0 0 0 0 0 0 0 0 0 0

29. YELLOW FEVER 0 0 0 0 0 0 0 0 0 0 0

30. ZIKA 0 0 0 0 0 0 0 0 0 0 0

OTHER DISEASES UNDER SURVEILLANCE

1 ACUTE FLACCID PARALYSIS (AFP) 0 0 0 0 0 0 0 0 0 0 0

2 ACUTE GASTROENTERITIS (AGE) 38 0 0 0 0 0 60 0 88 0 186

3 FILARIASIS 0 0 0 0 0 0 0 0 0 0 0

4 INFLUENZA-LIKE ILLNESS (ILI) 730 0 0 0 0 0 0 0 0 0 730

5 SEVERE ACUTE RESPIRATORY INFECTION (sARI) 41 0 0 0 0 0 0 0 0 0 41

6 MELIOIDOSIS 0 0 0 0 0 0 0 0 0 0 0

7 BRUCELLOSIS 0 0 0 0 0 0 0 0 0 0 0

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 5

4. COMMUNICABLE DISEASES CUMULATIVE BY DISTRICT, 2017, JOHORE STATE

DISEASE

JB

KJ

MR

LG

BP

KG

ST

PN

KT

MG

JOHORE

NOTIFIABLE DISEASES

1. AVIAN INFLUENZA 0 0 0 0 0 0 0 0 0 0 0

2. CHANCROID 0 0 0 0 0 0 0 0 0 0 0

3. CHOLERA 0 0 0 0 0 0 0 0 0 0 0

4. DENGUE FEVER 1367(2) 77 28 20 52 57(1) 77(1) 22 80 25 1805(4)

DENGUE HAEMORRHAGIC FEVER 2 0 0 0 0 0 0 0 0 0 2

5. DIPHTHERIA 0 0 0 0 0 0 0 0 0 0 0

6. DYSENTERY (all types) 4 0 0 0 0 0 0 0 0 0 4

7. EBOLA 0 0 0 0 0 0 0 0 0 0 0

8. FOOD POISONING (episode) 3 5 1 2 1 2 1 0 0 1 16

FOOD POISONING (case) 54 24 46 35 11 49 131 0 0 32 382

9. GONOCOCCAL INFECTION (all forms) 55 12 1 1 17 3 0 3 6 2 100

10. HAND, FOOT & MOUTH DISEASE (HFMD) 549 51 41 19 59 186 36 25 47 16 1029

11. HIV INFECTION (all forms) 105 11 9 1 18 14 4 7 4 2 175

HIV DEATH 2 0 1 0 3 2 1 1 1 0 11

12. LEPROSY 2 1 0 0 0 0 0 0 0 0 3

13. LEPTOSPIROSIS 8 1 10 2 1 3 14 1 4 3 47

14. MALARIA 4 0 0 0 0 0 1 0 9 2 16

15. MEASLES 24 3 2 0 0 2 0 2 0 0 33

16. MERSCoV 0 0 0 0 0 0 0 0 0 0 0

17. PLAGUE 0 0 0 0 0 0 0 0 0 0 0

18. ACUTE POLIOMYELITIS 0 0 0 0 0 0 0 0 0 0 0

19. RABIES 0 0 0 0 0 0 0 0 0 0 0

20. RELAPSING FEVER 0 0 0 0 0 0 0 0 0 0 0

21. SYPHILIS (all forms) 57 7 1 0 6 4 1 3 1 1 81

22. TETANUS (Neonatorum / Adult) 0 0 0 0 0 0 0 0 0 0 0

23. TUBERCULOSIS (all forms) 244 27 25 15 68 33 25 28 32 21 518

TUBERCULOSIS DEATH 2 0 0 1 1 0 0 1 1 0 6

24. TYPHOID & PARATYPHOID FEVER 0 0 1 0 0 0 1 0 0 0 2

25. TYPHUS & OTHER RECKETTSIOSES 0 0 0 0 0 0 0 0 0 0 0

26. VIRAL ENCEPHALITIS 0 0 1 0 0 0 0 0 0 0 1

27. VIRAL HEPATITIS

a) Hepatitis A 0 0 0 1 0 0 0 0 0 0 1

b) Hepatitis B 60 1 5(1) 3 6 3 3 3 6 1 91(1)

c) Hepatitis C 12 3 3 1 6 12 2 5 2(1) 0 46(1)

d) Other Hepatitis 0 0 0 0 0 0 0 0 0 0 0

28. WHOOPING COUGH 1 0 1 0 0 0 0 0 0 0 2

29. YELLOW FEVER 0 0 0 0 0 0 0 0 0 0 0

30. ZIKA 0 0 0 0 0 0 0 0 0 0 0

OTHER DISEASES UNDER SURVEILLANCE

1 ACUTE FLACCID PARALYSIS (AFP) 0 0 0 0 0 0 0 0 0 0 0

2 ACUTE GASTROENTERITIS (AGE) 336 0 0 0 342 0 798 0 422 167 2065

3 FILARIASIS 0 0 0 0 0 0 0 0 0 0 0

4 INFLUENZA-LIKE ILLNESS (ILI) 10283 0 0 0 0 0 0 0 0 0 10283

5 SEVERE ACUTE RESPIRATORY INFECTION (sARI) 246 0 0 0 0 0 0 0 0 0 246

6 MELIOIDOSIS 1(1) 0 0 0 0 2 1(1) 0 0 0 4(2)

7 BRUCELLOSIS 1 0 0 0 0 0 1 0 0 0 2

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 6

5. CLUSTER / OUTBREAK BY DISTRICT, 2017, JOHORE STATE

DISEASES

JB

KJ

MR

LG

BP

KG

ST

PN

KT

MG

JOHORE

1 ACUTE GASTROENTERITIS (AGE) 0 0 0 1 0 2 0 0 0 0 3

2 CHICKEN POX 2 1 0 0 0 0 0 0 0 0 3

3 CONJUNCTIVITIS 0 0 0 0 0 0 0 0 0 0 0

4 FOOD POISONING 4 5 1 1 1 1 1 0 0 1 15

5 HAND, FOOT & MOUTH DISEASE (HFMD)

7 2 0 0 0 3 0 0 0 0 12

6 HEPATITIS A 0 0 0 0 0 0 0 0 0 0 0

7 INFLUENZA/(ILI) 3 0 0 1 0 0 0 0 0 0 4

8 LEPTOSPIROSIS 0 0 0 0 0 0 0 0 0 0 0

9 MEASLES 1 0 0 0 0 0 0 0 0 0 1

10 MUMPS 0 0 0 0 0 0 0 0 0 0 0

11 UPPER RESPIRATORY TRACT INFECTION (URTI)/

0 0 0 0 0 0 0 0 1 0 1

12 ROTAVIRUS 0 1 1 0 0 0 0 0 0 0 2

13 TYPHOID 0 0 0 0 0 0 1 0 0 0 1

14 SCABIES 0 0 0 0 0 1 0 0 0 0 1

6. INFLUENZA SURVEILLANCE 2017, JOHORE STATE

6.1 ILI SURVEILANCE (KPL MAHMOODIAH)

ILI Surveilance

EW 14 CUMULATIVE

< 10 years

10 to 19

years

20 to 59

years

≥ 60 years

Total < 10 years

10 to 19

years

20 to 59

years

≥ 60 years

Total

Number of ILI Cases 56 55 368 251 730 897 1253 5211 2912 10273

Total Outpatient Attendances

70 87 2290 1610 4057 1450 2850 33497 20730 58527

6.2 sARI SURVEILLANCE (HOSPITAL SULTANAH AMINAH, JOHOR BAHRU)

sARI Surveilance

EW 13 CUMULATIVE

Paediatric Patients

(< 13 years)

Adults Patients ( ≥ 13 years )

Total Paediatric Patients

(< 13 years)

Adults Patients ( ≥ 13 years )

Total

Number of SARI Cases (New Admission)

33 8 41 186 60 246

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 7

7. WEEKLY CASES OF FOOD POISONING, 2016—2017

8. WEEKLY CASES OF OTHER FOOD WATERBORNE DISEASES, 2016—2017

9. WEEKLY CASES OF AIR/DROPLET BORNE DISEASES, 2016—2017

0

100

200

300

400

500

600

700

800

0

50

100

150

200

250

300

350

400

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 2016 Moving Median AGE 2017 AGE 2016

FOOD POISONING 2016 & 2017

No

.of

Ca

ses

No

of

AG

E ca

ses

0

1

2

3

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 2016

TYPHOID/PARA TYPHOID 2016 & 2017

No

.of

Cas

es

0

50

100

150

200

250

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 2016 Moving Median Alert Epidemic

HFMD 2016 & 2017

No

.of

Cas

es

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 8

10. WEEKLY CASES OF VACCINE PREVENTABLE DISEASES, 2016—2017

0

5

10

15

20

25

30

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 2016 Moving Median

KES MEASLES NEGERI JOHOR TAHUN 2016 & 2017

No

.of

Cas

es

0

2

4

6

8

10

12

14

16

18

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 2016 Moving Median

HEPATITIS B 2016 & 2017

No

.of

Cas

es

0

2

4

6

8

10

12

14

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 2016 Moving Median

HEPATITIS C 2016 & 2017

No

.of

Cas

es

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 9

10.2 MEASLES ENHANCED SURVEILLANCE DATA (Cumulative)

Case classification Frequency

Clinically confirmed 2

Epidemiologically confirmed 0

Lab confirmed 33

Discarded 77

Pending 4

Total notifications 116

Incidence rate 32.0 per 1 million population

Indicator Achievement Target

Cases notified within 48 hours of rash onset 58% 100%

Cases investigated within 48 hours 98% >80%

Sample taken for confirmation 92% >80%

Cases classified 97% 100%

Confirmed case with source of infection identified 88% >80%

Death 0 0

11. LEPTOSPIROSIS

0

2

4

6

8

10

12

14

16

18

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 2016 Moving Median

LEPTOSPIROSIS 2016 & 2017

No

.of

Cas

es

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 10

12. TUBERCULOSIS

13. DENGUE

14. MERSCoV

0

10

20

30

40

50

60

70

80

90

100

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 2016

TUBERCULOSIS 2016 & 2017

No

.of

Cas

es

0

100

200

300

400

500

600

700

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

2017 2016

DENGUE 2016 & 2017

No

.of

Cas

es

0

5

10

15

20

25

30

35

40

1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51

Suspected Confirmed

MERSCoV 2017

No

.of

Cas

es

J o h o r W e e k l y E p i d e m i o l o g i c a l B u l l e t i n 2 0 1 7

Page 11

15. LABORATORY BASED SURVEILLANCE

15.1 Enteric Pathogen Identified During Food Poisoning / AGE Event 2017 – 2016, Johor State

Analysis

No. of sample received No. of positive sample

EW 14 Cumulative EW 14 Cumulative

2017 2016 2017 2016 2017 2016 2017 2016

1 Salmonella typhi/Salmonella spp. 1 22 217 485 0 0 7 3

2 Yersinia enterocolitica 0 22 148 258 0 0 0 0

3 Vibrio cholerae/Vibro para 0 22 148 262 0 0 0 2

4 Plesiomonas shiggelloides/spp 0 22 148 258 1 0 1 0

5

Enteropathogenic E.coli (EPEC,EHEC) 0 22 148 258 0 0 0 0

6 Aeromonas hydrophilia/spp 0 22 148 258 0 0 0 2

7 Shigella spp. 0 22 148 258 0 0 0 0

8 Bacillus cereus (positive enterotoxin) 0 22 148 258 0 0 0 0

9

Staphylococcus aureus (positive enterotoxin) 0 22 148 258 0 0 9 9

10 Campylobacter jejuni/coli/spp 0 22 148 258 1 0 1 0

16. INFLUENZA SURVEILLANCE

0

1000

2000

3000

4000

5000

6000

7000

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

ILI Cases Total Outpatient

ILI SURVEILLANCE JOHOR 2017

No

.of

Cas

es

0

5

10

15

20

25

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